RT Journal A1 Feudtner C T1 CHild advocacy and robust community-centered research JF Archives of Pediatrics & Adolescent Medicine JO Archives of Pediatrics & Adolescent Medicine YR 2001 FD April 1 VO 155 IS 4 SP 438 OP 439 DO 10.1001/archpedi.155.4.438 UL http://dx.doi.org/10.1001/archpedi.155.4.438 AB DOES THE DRUG piracetam improve the cognition of children with Down syndrome?1 In contrast with exuberant testimonials appearing on television and the Internet, Lobaugh et al2 found no substantial benefit in their randomized controlled study. Despite the trial's relatively small cohort size, its rigorous double-blinded crossover design should earn our respect, while their findings (especially of undesirable behavioral effects) should temper our enthusiasm for piracetam markedly.